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WO2019147210A2 - Appareil à ballonnet à pression régulée positionné dans la cavité formée dans le cerveau après une chirurgie - Google Patents

Appareil à ballonnet à pression régulée positionné dans la cavité formée dans le cerveau après une chirurgie Download PDF

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Publication number
WO2019147210A2
WO2019147210A2 PCT/TR2019/050033 TR2019050033W WO2019147210A2 WO 2019147210 A2 WO2019147210 A2 WO 2019147210A2 TR 2019050033 W TR2019050033 W TR 2019050033W WO 2019147210 A2 WO2019147210 A2 WO 2019147210A2
Authority
WO
WIPO (PCT)
Prior art keywords
pressure
brain
balloon
regulated
water
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/TR2019/050033
Other languages
English (en)
Other versions
WO2019147210A3 (fr
Inventor
Mehmet Dumlu AYDIN
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Atatuerk Ueniversitesi Bilimsel Arastirma Projeleri Birimi
Original Assignee
Atatuerk Ueniversitesi Bilimsel Arastirma Projeleri Birimi
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Atatuerk Ueniversitesi Bilimsel Arastirma Projeleri Birimi filed Critical Atatuerk Ueniversitesi Bilimsel Arastirma Projeleri Birimi
Priority to US16/628,763 priority Critical patent/US20200222676A1/en
Priority to EP19743991.2A priority patent/EP3675947A4/fr
Publication of WO2019147210A2 publication Critical patent/WO2019147210A2/fr
Publication of WO2019147210A3 publication Critical patent/WO2019147210A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02—Dilators made of swellable material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M25/1018—Balloon inflating or inflation-control devices
    • A61M25/10184—Means for controlling or monitoring inflation or deflation
    • A61M25/10185—Valves
    • A61M25/10186—One-way valves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B2017/0212—Cushions or pads, without holding arms, as tissue retainers, e.g. for retracting viscera
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
    • A61B2017/0225—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery flexible, e.g. fabrics, meshes, or membranes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B2017/12004—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for haemostasis, for prevention of bleeding
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/032—Automatic limiting or abutting means, e.g. for safety pressure limiting, e.g. hydrostatic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/06—Head
    • A61M2210/0693—Brain, cerebrum

Definitions

  • the invention relates to a pressure-regulated balloon apparatus positioned in a cavity to prevent the negativities caused by the cavities formed in the brain after the brain and nerve surgery.
  • the invention relates to a pressure-regulated balloon apparatus used to prevent the brain collapse, to solve negative/positive pressure imbalances to be formed, and to prevent bleeding by pressure with a soft effect to the cavity formed after the brain cyst and tumor surgery.
  • the brain diseases are various diseases such as bleedings, cysts, tumors, inflammations in the brain.
  • the various diseases in the brain which is the most important organ major defects in another part of the body.
  • the treatment options are determined by the physician according to the type of cyst and tumor, their location and the results of treatment in the literature. In general, however, the options are surgical treatment, radiation therapy (radiotherapy) and chemotherapy. In most of the brain cysts and tumors, surgical intervention is the prioritized treatment method.
  • the cortex may be folded, curved, its veins ruptured and rotten by collapsing into the cavity. These negativities can cause disability or death after surgery.
  • the method of balloon-assisted hydatic cyst removal is used in the brain cysts (1) .
  • Said surgical method is applied during the standard surgical interventions such as hydatic cyst surgery or wide dura opening during the classical wide craniotomy.
  • the Foley probe at the end of the inflated balloon is gradually progressed between the cyst and brain tissue.
  • the brain tissue is cleaned from the hydatic cyst by inflating the balloon with the saline solution.
  • the balloon used in the present applications is used to remove the cyst from the brain tissue. No studies have been carried out related to the placement of the balloon and any devices such as balloon and the like in the cavity formed by the cyst and tumor removed from the brain tissue.
  • the present invention relates to a pressure-regulated balloon apparatus (Dadalon) positioned in the cavity formed in the brain after surgery which meets the aforementioned requirements and resolves all disadvantages and provides additional advantages.
  • Dralon pressure-regulated balloon apparatus
  • the aim of the invention is to prevent the brain collapse into the cavity formed after the cyst and tumor surgery.
  • the aim of the invention is to solve the negative/ positive pressure imbalances to be formed after the brain cyst and tumor surgery.
  • the aim of the invention is to prevent bleeding by pressure with a soft effect to the cavity formed after the brain cyst and tumor surgery.
  • the aim of the invention is to prevent the cortex from being folded, curved, rupture of the veins and rotten by collapsing into the cavity formed after the giant cysts and tumors in the brain are emptied.
  • the invention is a pressure-regulated balloon apparatus positioned in a cavity to prevent the negativities caused by the cavities formed in the brain after the brain and nerve surgery, comprising:
  • a valve positioned on the probe to throw out the air/water in the main balloon by opening automatically when the brain pressure exceeds the normal.
  • Figure-1 is a general view of the pressure-regulated balloon apparatus (Dadalon) according to the invention.
  • Figure-2 is a general view of the valve when the brain pressure is low.
  • Figure-3 is a general view of the valve when the brain pressure increases.
  • Figure-4 is a representative view of the pressure-regulated balloon (Dadalon) applied to the brain after the cyst and tumor are removed.
  • Figure-5 is a representative view of the pressure-regulated balloon movement during the normalization process of the brain.
  • the pressure-regulated balloon apparatus (Dadalon) (10), positioned in said cavity to prevent the negativities caused by the cavities formed in the brain (B) after the brain and nerve surgery is merely described for a better understanding of the subject and without any limiting effects.
  • the pressure-regulated balloon apparatus (10) of the invention provided in Figure 1 in terms of its general structure, consists of the main balloon (1 1 ) providing a soft support to the brain (B) with the air/water pumped into it, the security balloon (13) outside of the skull (K), the double-channel probe (14) pumping air/water into the security balloon with said main balloon (1 1 ) and draining the existing air/water, the valve (15) positioned on the probe to throw out the air/water in the main balloon (1 1 ) by opening automatically when the brain (B) pressure exceeds the normal.
  • the main balloon (1 1 ) of the pressure-regulated balloon apparatus (10) is a normal balloon which is positioned in the brain (B) and in which the probe (14) is inserted after being sterilized.
  • Said probe (14) is the Foley probe.
  • the main balloon (10) is inflated such that it fills the cavity formed in the brain (B) by means of air/water through the probe (14).
  • the security balloon (13) which is outside the skull (K), is also inflated by giving air/water with the probe (14).
  • a representative view of the pressure-regulated balloon apparatus (Dadalon) (10) applied to the brain (B) after the removal of cyst and tumor is provided.
  • the neck (12) positioned between the main balloon (1 1 ) and the security balloon (13) is located between the brain membranes, bone and scalp to prevent the pressure-regulated balloon apparatus (Dadalon) (10) from sliding in and out.
  • the valve (15) whose general view is given, is pressure regulated, and comprises the piston (151 ) moving according to the pressure formed in the brain (B), the spring (152) moving the piston (151 ) forward (A direction) by compressing in case of the cylinder exceeds the brain pressure and preventing the output of the air/water by opening when the pressure decreases and the output end (153) from which the air/water is drained.
  • the valve (15) is pressure-regulated and the spring (152) is compressed when the pressure exceeds 15 cm of water where the pressure-regulated balloon apparatus (10) is the exit foramen of the pressure-regulated balloon apparatus (10) in the brain (B), and the piston (151 ) moves forward (A direction) to throw away the air/water in the main balloon (1 1 ) from the output end (153).
  • the volume of the main balloon (1 1 ) is shrinking in the X direction and an expansion in the brain (B) is provided.
  • the diameter of the main balloon (1 1 ) shrinking by itself in this way is removed when it is less than 2 cm in few days.
  • Figure 3 the general view of the valve (15) when the brain pressure increases is provided.
  • Figure 5 the representative view of the pressure-regulated balloon movement (10) during the normalization process of the brain (B).
  • the application of the pressure-regulated balloon apparatus (Dadalon) (10) has provided very successful results in the use after the cysts and tumor surgeries. It prevents the intracranial pressure increase to be formed by the expanding brain (B) and the pressure of the brain (B) and provides expansion in the collapsed brain (B).
  • the main balloon (1 1 ) which is under the increased pressure shrinks by itself in X direction and prevents the complications such as pressure increase in the brain (B), bleeding, folding of the brain vessels and decreasing of the flow and stopping.
  • the pressure-regulated balloon apparatus (10) of the invention can be used after the brain hemorrhage surgeries.
  • REFERENCES Ulutas M., Cinar K., Secer M., Removal of large hydatic cysts with balloon-assisted modification of Dowling’s method: technical report. 2015, Acta Neurochir (Wien). 157(7): S1221 -1224

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Reproductive Health (AREA)
  • Child & Adolescent Psychology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

En particulier, l'invention concerne un appareil à ballonnet à pression régulée (10) utilisé pour empêcher l'affaissement du cerveau (B), pour résoudre des déséquilibres de la pression négative/positive, et pour empêcher un saignement par application d'une pression en douceur sur la cavité formée après la chirurgie d'un kyste et d'une tumeur au cerveau.
PCT/TR2019/050033 2018-01-25 2019-01-16 Appareil à ballonnet à pression régulée positionné dans la cavité formée dans le cerveau après une chirurgie Ceased WO2019147210A2 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US16/628,763 US20200222676A1 (en) 2018-01-25 2019-01-16 Pressure-regulated balloon apparatus positioned in the cavity formed in the brain after surgery
EP19743991.2A EP3675947A4 (fr) 2018-01-25 2019-01-16 Appareil à ballonnet à pression régulée positionné dans la cavité formée dans le cerveau après une chirurgie

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TR2018/01062A TR201801062A2 (tr) 2018-01-25 2018-01-25 Ameliyat Sonrası Beyinde Oluşan Boşluğa Konumlandırılan Basınç Ayarlı Balon Aparatı
TR2018/01062 2018-01-25

Publications (2)

Publication Number Publication Date
WO2019147210A2 true WO2019147210A2 (fr) 2019-08-01
WO2019147210A3 WO2019147210A3 (fr) 2019-08-29

Family

ID=63794161

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/TR2019/050033 Ceased WO2019147210A2 (fr) 2018-01-25 2019-01-16 Appareil à ballonnet à pression régulée positionné dans la cavité formée dans le cerveau après une chirurgie

Country Status (4)

Country Link
US (1) US20200222676A1 (fr)
EP (1) EP3675947A4 (fr)
TR (1) TR201801062A2 (fr)
WO (1) WO2019147210A2 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113440269A (zh) * 2021-08-13 2021-09-28 吉林大学 一种神经外科诊疗用定位导向装置
FR3117334A1 (fr) 2020-12-10 2022-06-17 Commissariat à l'Energie Atomique et aux Energies Alternatives Dispositif de refroidissement localisé

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112155615B (zh) * 2020-09-29 2024-03-26 吉林大学 一种医用颅脑手术通道封闭装置
CN112220511B (zh) * 2020-10-28 2021-09-21 陈浩 一种神经外科手术用脑压板
CN114431912B (zh) * 2021-11-25 2023-09-19 上海交通大学医学院附属第九人民医院 术后填充装置

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4116201A (en) * 1976-12-20 1978-09-26 The Kendall Company Catheter with inflation control device
DE3736604C2 (de) * 1987-10-29 1997-07-10 Christian Dr Med Milewski Vorrichtung zum Erhalt und zur Wiederherstellung begrenzender Knochenwände einer Körperhöhle nach einem chirurgischen Eingriff
DE4315821A1 (de) * 1993-05-12 1994-11-17 Christian Dr Med Milewski Vorrichtung zur Tamponade und zum Offenhalten von knochenbegrenzten Körperhöhlen und Gängen nach chirurgischer Manipulation
US6796972B1 (en) * 2000-07-14 2004-09-28 Edwards Lifesciences Llc Catheter anchoring balloon structure with irrigation
US20080294187A1 (en) * 2007-04-13 2008-11-27 Biomet Microfixation, Llc Neurosurgical Balloon Retractor
US9986893B2 (en) * 2009-12-15 2018-06-05 Cornell University Method and apparatus for manipulating the side wall of a body lumen or body cavity so as to provide increased visualization of the same and/or increased access to the same, and/or for stabilizing instruments relative to the same
US8932805B1 (en) * 2011-10-31 2015-01-13 BioDlogics, LLC Birth tissue material and method of preparation

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR3117334A1 (fr) 2020-12-10 2022-06-17 Commissariat à l'Energie Atomique et aux Energies Alternatives Dispositif de refroidissement localisé
EP4014934A1 (fr) 2020-12-10 2022-06-22 Commissariat à l'énergie atomique et aux énergies alternatives Dispositif de refroidissement localisé
CN113440269A (zh) * 2021-08-13 2021-09-28 吉林大学 一种神经外科诊疗用定位导向装置
CN113440269B (zh) * 2021-08-13 2022-08-26 吉林大学 一种神经外科诊疗用定位导向装置

Also Published As

Publication number Publication date
WO2019147210A3 (fr) 2019-08-29
US20200222676A1 (en) 2020-07-16
EP3675947A2 (fr) 2020-07-08
TR201801062A2 (tr) 2018-03-21
EP3675947A4 (fr) 2020-10-07

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